Srpski arhiv za celokupno lekarstvo 2014 Volume 142, Issue 9-10, Pages: 535-541
https://doi.org/10.2298/SARH1410535S
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Prevalence of Enterococcus faecalis and Porphyromonas gingivalis in infected root canals and their susceptibility to endodontic treatment procedures: A molecular study
Stojanović Nikola (University of East Sarajevo, Faculty of Medicine, Department of Restorative Dentistry and Endodontics, Foča, Bosnia and Herzegovina)
Krunić Jelena (University of East Sarajevo, Faculty of Medicine, Department of Restorative Dentistry and Endodontics, Foča, Bosnia and Herzegovina)
Popović Branka (School of Dental Medicine, Institute of Human Genetics, Belgrade)
Stojičić Sonja (University of British Columbia, Faculty of Dentistry, Department of Oral Biological and Medical Sciences, Division of Endodontics, Vancouver, Canada)
Živković Slavoljub (School of Dental Medicine, Department of Restorative Dentistry and Endodontics, Belgrade)
Introduction. Because apical periodontitis is recognizably an infectious
disease, elimination or reduction of intracanal bacteria is of utmost
importance for optimum treatment outcome. Objective. The prevalence of
Enterococcus faecalis and Porphyromonas gingivalis in infected root canals
was studied Also, the effect of endodontic therapy by using intracanal
medicaments, calcium hydroxide paste (CH) or gutta-percha points containing
calcium hydroxide (CH-GP) or chlorhexidine (CHX-GP) on these microorganisms
was assessed by polymerase chain reaction (PCR) assay. Methods. Fifty-one
patients with chronic apical periodontitis were randomly allocated in one of
the following groups according to the intracanal medicament used: CH, CH-GP
and CHX-GP group. Bacterial samples were taken upon access (S1), after
chemomechanical instrumentation (S2) and after 15-day medication (S3). PCR
assay was used to detect the presence of selected bacteria. Results. E.
faecalis was detected in 49% (25/51) and P. gingivalis in 17.6% (9/51) of the
samples. Samples which showed no bacterial presence at S1 were excluded from
further analysis. Overall analysis of all 29 samples revealed significant
differences between S1 and S2 (p<0.001), S2 and S3 (p<0.05), and S1 and S3
(p<0.001). When distinction was made between the intracanal medications,
there was a significant difference in the number of PCR positive samples
between S1 and S2, S1 and S3, but not between S2 and S3 samples. Conclusion.
E. faecalis is more prevalent than P. gingivalis in primary endodontic
infection. Intracanal medication in conduction with instrumentation and
irrigation efficiently eliminates E. faecalis and P. gingivalis from infected
root canals.
Keywords: antibacterial treatment, calcium hydroxide, chlorhexidine, medicated gutta-percha points, polymerase chain reaction